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17C-085 (2) r> z M © N i 3 C C r-1 tom' cv _ C r > rl Z J � _a Zoning tJ�fl Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.5g& ch v„ Alterations X NORTHAMPTON, MASS. 19 Y414k ',�-1 Igyy Additions a APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location t `7 l JUV SM-F-ET Fl ug-=Aj['g MA. Lot No. 85 2. Owner'snamedAup—r ka LIntuZ zj(-,5� Address 4,�X 14" 3. Builder's name W/C/iA;n •j- T..,[,)gnm e.AA Address PQ, Rom IYI LE50.5 MA a jo�3 Mass.Construction Supervisor's License No. 00 -4/ Expiration Date 2•IS-2ouo 4. Addition 5. Alteration 9F.Ae tlA-rznw, nF' 646aw v J42 zur I•t 1�sTFY1 d �,Y, S Ei�' L?7T.c) AV_o .2&3v 6. New Porch 7. Is existing building to be demolished? XI/A 8. Repair after the fire IV/A 9. Garage f-W-S ,)ZZn0AP—"p No.of cars 2 Size 241")( Z3` 10. Method of heating (5,45 Fi.Q.G23 5;72 �A4 11. Distance to lot lines 12. Type of roof AS.e&nZ f - 13. Siding house l✓»n g Lt4p & a,a - 14. Estimated cost:- O 0,wo, ov The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible appicaw Remarks P .re wx 2 2 aotnctittacUa `m DEPT OF BUH_ `NG INSPECTEOfyGEPAh7?/CENT 01' BUILDDIG INSPPCTIONS 7jU--:27 L kfai.0 Str 1l�lllb Northampton, Macs. 01060 `AIOIUCEI R-'S COMPI,'T'1SATION MURAINCF, A +r )A.'VIT tiznth a pri.iPC:ll-)FLi P a.c, <?f I i.,sI;T ss r:side,Ice at: _s8 fa� 3`_sc .r_.___ s�_ ► -_�4�_ s�.lrtp__�?_la _—__...0°t3on(;;=)._ � - oo (stn r,I/ci t.;/st_tcj:J p) do here y ce.r- NI, Undei- talc p,1111's a1Ci pEail ,ti C.S Cif pe tlaa, ( ) aiii aul employer provid,MQ die folio ',m g, \vorlr_er s cOIrjpens UG!] CJVC je for illy employees wor�icing o❑ t-Iiis Job: ---(PC!ic f NUMIicr) (Expiration D21e) ( ) I am a sole proprietor, general contractor or homeowner (cirr.,le one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contactor) (Insurane Comtrany/Poticy Ntirrlbcr) (Expiration Date) (Name of Contractor)--- (Insurance Company/?oticy Number) (Expiration Date) (Name of Contractor) -- _ (?nslrince Compa-gy/PoLicy Nu.rnbu) (Expiration Date) (Nazie of Contractor) (Ins,irance Company/Policy Nl umkr) (Expiration Date) (attest additiocnl tiur_!if•❑ccc,:rytu inClu tit infon iuti rxt pntaiaiug to all cotrb'n,'ton) ( I am a sole: proprietor and have no one working for me. ( ) I am a I'LOMe owner perforinillg all the worn:myself. NOIF:pla+sc tx aw3rc that.tililo 6oaxrnt-r:n wbo cmploy Po-.tom to do msiu!xaancc,cc+sstnuxioa'or repair wade ou a dwelling of ttot mocc Ilan tattoo ttaiir iz tr4iich the homorwocr wide=or oo the P-ou3 it spvjrtrnwi llrxdo arc not generally coariderod to be cmploytra undcx LIM tvcxicrx z cr.L4-zts dim Ark.(GL 15'2-s 1(5)),app l.catioa lrj a homwwnc Car a lictox or pernit may cvidcnoc the lcgsl Flab a of a.n cmplcryx uad,%Alo W<xictx'a f,:sa l ccuatiou AcL i un3erwi-tad tJvd a cr"of add rtxttcncua�--y ba Px;ewxiod to tl o L\tv,.rtaxa.t of Sndurtr !Aaci lr&Offic of[astuana+for tho oovera.6c vaificalioa»ed Cut fiAkt t:U-)saxrc xv=Lo undcx so-cioa 25A or MoL 152 call L"A to the iia--'ti-of aiminsl pcnattics oanisang of a fixr of L W?'1,5{70.QCi ri-w(w iurmrrrxnnad orup to one y=rArA civil p.=v.;cs in!f c fcxin of n Stop Work Ord-and a firm oC S I 00 a clay&4 msi n Signed this 199 / Foc-d.putw&Wuwcaty Permit Numbea• Lot# 10. Do any signs exist on the property? YES NO Y IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property/?YES NO_X IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This colt= to be filled im by the Building Department I Required Existing Proposed By Zoning Lot size 61100 SQ Ff 6g00 SQ, F+1 Frontage ti o F+ 0- o Ft Setbacks -frnnt - side L: R: L: R: - rear Building height Z8`- Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of Parking spaces f of Loading Docks Fill: -(vol-time--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: f f.d9-4✓1tA �WC) APPLICANT's SIGNATURE J J NOTE: Issuance of a zoning permit does not relieve an mpplioidnrn burden to oomply witk all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission. Department of Publio Works and other applioable permit granting authorities. FILE # W2 2P% ,- Fi 1 e No4A!Z 1 DEPT OF BU P' NG INSPE':T4r;"° ZMING PERMIT APPLICATION (§10 . 2 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: 4U41 1,'Am Z T 2,0 AR s 1 M Address: P,O, Ao e ZVZ LF LAS XJA 0106"A Telephone:_ y/3 �f51� zloo"�- 2. Owner of Property: 1'�ALI/2���f LSO cv12 r iN Address: 67 �1c2,t--- /e- _ Telephone: L112 Std z/ 933 Z 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 66AI 5ki4 L 4. Job Location: /,d/f„ S7"���T F%� ►� Parcel ld: Zoning Map# 17C Parcel# 89 District(s): UK (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/Property- _�/Q� �f,,,,,14 ,L V1)PLrL'n / 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): {ZF-Vd sjjai1 nT= 4Ee'Qi1n l=ion,- lac s2 7. Attached Plans: _Sketch Plan Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO_ ,t( DON'T KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO_)L_ DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SIDE) f File#BP-1999-0776 APPLICANT/CONTACT PERSON William Turomsha ADDRESS/PHONE P O Box 141 (413)586-4005 PROPERTY LOCATION 67 HIGH ST MAP 17C PARCEL 085 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid — Typeof Construction: RENOVATE 2ND FLR EXISTING MASTER BEDROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildinp,Plans Included: Owner/Statement or License 000515 3 sets of Plans/Plot Plan THE tpkLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: pproved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under, § —w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § —w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability of Health Well Water Potability Board of Health Permit from Conservation Co *scion Signature of Building UMcial Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. 67 HIGH ST BP-1999-0776 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C-085 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-1999-0776 Proiect# JS-1999-1408 Est.Cost: $10000.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: William Turomsha 000515 Lot Size(sa.ft.): 6403.32 Owner: LAWRENCE MAUREEN P Zoning:URB Applicant: William Turomsha AL. HIGH ST Applicant Address: Phone: Insurance: P O Box 141 (413) 586-4005 LEEDS 01053 ISSUED ON:3123/1999 o:oo:oo TO PERFORM THE FOLLOWING WORK.-RENOVATE 2ND FLR EXISTING MASTER BEDROOM POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Rough Frame: Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 3/23/1999 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo kw� 67 HIGH ST BP-1999-0776 GIs# COMMONWEALTH OF MASSACHUSETTS Ma 19ck: 17C-085 CITY OF NORTHAMPTON at: 1 Permit: Building Co aory Nc_nstructural i%erior renovations BUILDING PERMIT Roma# Bp-1 999-0776 BM W## JS-1 299-1408 Est.Cost:$10000.00' Fgg:$0,00 PERMISSION IS HEREBY GRANTED TO: Ct.Class:: Contractor: . License: Use t,roun: William Turomsha_ 000515 Lot SiZgsa, : OMh.32 Owner: LAWRENCE MAVEN P Wig:I3RB pylkant, William Turomsha ATE B7 HtG� ST dm icant.49*ess: Ph,one: Ins P O Box 141 (4131586-4005 LEEDS 01063 L&YUED ON:31231I999 0:il(1:Ot1 TO PERFORM THE FOLLOWING WORK.-RENOVATE 2ND FLR EXISTING MASTER BEDROOM POST THIS CARD So IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring' D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: /.2/�y House# Foundation: Finals FinalJ7��131� �� Rough Framer ® j<, k/ Gas Fire Department Fireplace/Chimney: Rough: Qih Insulation: Final: Smoke: Final: O k q-36 `q'I THIS PERMIT MAY BE REVOKED BY THE CI OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. i na are: Fee, TyTe.- Recet�nt No: Date Paid: Check Nos Amount: Building 3/23/1999 0:00:00 $40,00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo